1804 HEWITT AVE 2022-05-12 - Laserfiche WebLink

477- PERMIT APPLICATION BUILDING /MECHANICAL/PLUMBING /SIGN /SPRINKLER/DEMOLITION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I(E)everetteps@everettwa.gov I www.everettwa.gov/permits (Blue or Black Ink Only Please) PROJECT SITE INFORMATION PROJECT SITE ADDRESS: ic6 oh-1. 4 lily\ At& PROPERTY TAX#:DCA 3C i(o g13 3CC0 LEGAL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) CONTACT INFORMATION OWNER NAME: 1\k111 P wcff' >i4 5 Acs r, TENANT NAME(If Commercial): q,e Xd (/5 OWNER MAILING ADDRESS: STREEr 'P.O. Eli)` a.D_D S.( J CITY 5P STATE U3/ ` ZIP q CIS t 4. a OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ,;rock '( T((ill,l� Vt5 - CONTRACTOR ADDRESS: STREET 51t OD tca Rulo `5L CITY 5(101,tor trk is h STATE 14)ICS. ZIP q g a'Z) CONTRACTOR PHONE: /t-%.S -1 rJS-0S CONTRACTOR EMAIL: Lb(-0 6 V(S p I(lrn) (ictica) ,(f� r' CONTRACTOR LICENSE#(REQUIRED):15 ank i2p -73 L7 CITY OF EVERETT BUSINESS LICENSE#(REQ ,}ED): ` PRIMARY CONTACT: ❑OWNER IXCONTRACTOR 0 OTHER(Please Specify) C 1f CONTACT NAME: CONTACT PHONE: ,C}a..7 ""T(g-5 53-7 ' - Y 1 0IA, J p5'(' CONTACT EMAIL: � b� BUILDING PERMIT APPLICATION c�% Existing Use of Building: Contract Price of Work:$ la/�;1�C�-- Proposed Use of Building: Heat Source: ❑Gas DElectric ❑Other Building Type: DSFR-Detached ❑SFR-Attached ❑Duplex ❑Multi-Family-#of Units: DCommercial ❑Industrial Type of Project: ❑New ❑Addition DRemodel ❑Repair ❑T.I. ❑Sign ❑Sprinkler ❑Demolition ❑Change of Use DESCRIPTION OF WORK: P_12,plia0,i2. OVA P(AU.IPS LO rtii\ ,c ,.QAD .04r— r`k) i-( 2- - °CD ( ASSOCIATED BUILDING PERMIT#(if applicable): 00 9 —6 e MECHANICAL PERMIT APPLICATION PLUMBING PERMIT APPLICATION Type of Project: New _ Addn _Alteration _Repair Type of Project: _New _Addn 14 Alteration _Repair #of List of Fixtures #of List of Fixtures #of List of Fixtures #of List of Fixtures Fixtures Fixtures Fixtures Fixtures NC-Air Handling Units Heat Pump cal Toilet Backflow Preventer(Inside Bldg) Forced Air Systems Unit Heater Bathtub Urinal Gas Piping Boiler al Lavatory(Wash Basin) Drinking Fountain Water Heater Refrigeration a-I Shower Floor Drain Gas Fireplace Wood Stove 1l Kitchen Sink&Disposal Grease Trap Gas Range Ducting Dishwasher Roof Drains Clothes Dryer Hookups Other. Clothes Washer Medical Gas Range Hood Water Heater Other: Exhaust Fan Sink(Service/Bar/Mop/etc.) Other: SPRINKLER/SUPPRESSION SYSTEM Chemical or Water I No.of Heads ACKNOWLEDGEMENT:I have reviewed this application and confirm the information contained herein is true and correct.Work done pursuant to this permit must comply with current federal,state,and local law.The granting of a permit only authorizes approved work and no deviations therefrom.Deviations must first be authorized in writing from the Building Official before being authorized under any circumstance.I am the owner,or I am authorized by the owner of this property to perform the work for which application is made, and 1 comply with the State Contractors Law 18.27 RCW and 296.200A WAC. City of Everett Official Use Only 010)2: L2 -- t Do ea d L� - 0-1g Owner/Authorized Agent Signature Date (Revised Wz.j/w,yr